Active NPI
Alex Patrick Kelsey, DO
- Psychiatry Physician
- Oshkosh, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 77229-21
- Practice address
- 700 N Westhaven Dr
Oshkosh, WI 54904-6947 - Phone
- (920) 456-2030
- Fax
- (920) 456-2025
- NPI assigned
- Mar 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 77229-21 | WI | Primary |
Addresses
Primary practice location
700 N Westhaven Dr
Oshkosh, WI 54904-6947
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 421-7474
Other practice location 2
4301 W Markham St # 589
Little Rock, AR 72205-7101
Phone (501) 526-8148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100215173 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | akelsey412962@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
700 N Westhaven Dr
Oshkosh, WI 54904-6947
Phone (920) 303-8700
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.02 of 100
- Quality
- 85.37
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
700 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 456-2030
Interoperability endpoints
- akelsey412962@direct.myadvocateaurora.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1124524152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N WESTHAVEN DR",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549046947",
"telephone_number": "920-456-2030",
"fax_number": "920-456-2025"
}
],
"practiceLocations": [
{
"address_1": "410 Dewey St",
"address_purpose": "LOCATION",
"city": "Wisconsin Rapids",
"state": "WI",
"postal_code": "544944715",
"country_code": "US",
"telephone_number": "715-421-7474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 589",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-526-8148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELSEY",
"first_name": "ALEX",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-30",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "77229-21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100215173",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "700 N Westhaven Dr",
"city": "Oshkosh",
"state": "WI",
"country_code": "US",
"postal_code": "549046947",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akelsey412962@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "700 N Westhaven Dr",
"city": "Oshkosh",
"state": "WI",
"country_code": "US",
"postal_code": "549046947",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.